• Title/Summary/Keyword: Clinical standards

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MMPI Analysis of Patients with Essential Hyperhisrosis (다한증 환자에서의 MMPI 다면적 인성검사 분석)

  • Kim, Do Wan;Kim, Chan;Han, Kyung Ream;Park, Jae Hong;Cho, Sun Mi
    • The Korean Journal of Pain
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    • v.21 no.3
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    • pp.206-210
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    • 2008
  • Background: Although the cause of hyperhidrosis has not been the subject of close investigation, there are cases for which excessive sweating happens at the hands, feet and armpits due to hyperactivity of the sympathetic nervous system. This usually occurs in people less than 25 years old and it often causes difficulties for their social and occupational life and there is a decrease in the quality of life. Therefore, this should also be examined according to the mental state of the patient who suffers from hyperhidrosis. Methods: The Minnesota Multiple Personality Inventory was administered to 59 patients in the Hyperhidrosis Center from March, 2006 to March, 2007. The MMPI's validity and 10 clinic standards were analyzed. The results were compared according to gender and age. Results: Of the standard clinical items, psychopathy and conversion hysteria were 21.1% and 17.5%, respectively. On comparison between males (47.5%) and females (52.5%), the females had a higher score for the hypochondriasis item. The patients above 18 years old had a significantly higher level of hypochondriasis and hypomania compared to the patients below 18 years old. Conclusions: When analyzing the personality of the patients with essential hyperhidrosis with using the MMPI, it was difficult to look for relations with the mental factor. Therefore, it is necessary to develop diagnostic tests for younger people with considering the relations with the period of morbidity.

Development of Pulse Analysis System Based on Convenience and Compactness (사용 편의성과 소형화 기반의 맥파 측정장치 개발)

  • Cho, JungHee;Bae, JangHan;Kim, YoungMin;Jun, MinHo;Yang, TaeHeon;Jeon, YoungJu
    • Journal of Biomedical Engineering Research
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    • v.38 no.4
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    • pp.168-174
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    • 2017
  • To improve and downsize the KIOM-Pulse Analysis System(KIOM-PAS), which has been traditionally used in clinical trials, a miniaturized PAS(M-PAS) with a pneumatic pump has been developed. M-PAS is composed of a measurement module and an arm-mounting module, on which an arm can be placed. The measurement module is equipped with a pressing component and sensor, which is a wearable wristband. The arm-mounting module includes a pneumatic motor, data acquisition board and valves. In addition, the measurement module is divided into a fixing module of band type for attachment to a pulsation site and a sensing module, which includes a sensor and a tube. The fixing module and sensing module are constructed independently, and the detachable fastening method improves the posture convenience of the subject during measurement. M-PAS has been reduced to 1/6 the size of KIOM-PAS, and the measurement time is shortened by 22%. Using a simulator, the difference between the waveforms measured by the two devices exhibited a high degree of similarity of within 3.65%. M-PAS represents improvements in size and convenience compared with KIOM-PAS, and it is expected to be widely used in clinics in the future because it improves the attachment method of the fixing module.

Establishing of Optimal Culture Conditions for MIC Panels for MIC Determination of Fish Bacterial Pathogens (어류 병원성 세균의 MIC 결정을 위한 MIC Panel의 최적화 배양 조건 확립)

  • Kim, Ye Ji;Jun, Lyu Jin;Kang, Mi Rae;Lee, Da Won;Woo, Soo Ji;Kim, Myoung Sug;Jeong, Joon Bum
    • Korean Journal of Fisheries and Aquatic Sciences
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    • v.53 no.3
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    • pp.443-450
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    • 2020
  • No established method can be used to select effective antibiotics in antibiotic susceptibility tests for fish bacterial pathogens quickly and accurately. Here, we established the optimal conditions for determining the minimal inhibitory concentration (MIC) of major fish bacterial pathogens (Streptococcus spp., Edwardsiella tarda, Vibrio spp., Aeromonas spp., and Pseudomonas spp.) using the KRAQ1 and CAMPY2 panels. The MIC panel used 18 antibiotics of two types and we conducted experiments to establish the optimal culture medium and temperature for each species. The optimal conditions for incubating Streptococcus spp. were in cation-adjusted Mueller-Hinton broth with TES buffer (CAMHBT) at 28℃, using 5% lysed horse blood (LHB) as recommended by the Clinical Laboratory Standards Institute. For Vibrio spp., the optimal culture conditions were 28℃ in CAMHBT supplemented with 1% NaCl. The optimal conditions for culturing E. tarda, Aeromonas spp., and Pseudomonas spp. were in CAMHBT at 28℃.

Study on the qualities of diet and life in Parkinson's disease patients according to their nutritional status (파킨슨병 환자의 영양 상태에 따른 식사의 질 및 삶의 질에 관한 연구)

  • Yun, Jae-Hee;Lim, Hyun-Jung;Woo, Mi-Hye;Ahn, Tae-Beom;Choue, Roy-Won
    • Journal of Nutrition and Health
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    • v.45 no.3
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    • pp.240-251
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    • 2012
  • Assessment regarding the nutritional status of Parkinson's disease (PD) patients is important because their nutritional status influences the outcome of disease. The purpose of this study investigated the dietary habits, dietary quality, and quality of life for Korean PD patients according to their nutritional status. Seventy PD patients were recruited from K University Hospital (KMC IRB#0918-07) from February 2010 to October 2011. To diagnose PD, the United Kingdom Parkinson's Society Brain Bank standards were used by a neurology physician. The participants were interviewed and assessed using various tools, including a general questionnaire, anthropometrics, questionnaires for dietary habits, dietary diversity score (DVS), dietary variety score (DVS), diet quality index-international (DQI-I), beck depression inventory (BDI), the Korean version of mini mental state examination (K-MMSE), and 36-item short-form health survey (SF-36). The results of the study were as follows: 1) Most of the PD patients (69.0%) were at risk of malnutrition, and 8.5% and 22.5% of the subjects were malnourished and well-nourished, respectively. 2) Clinical symptoms (swallowing and chewing difficulties) were obvious, and the quality of diet (DDS, DVS, DQI-I) was low in the malnourished group (p < 0.01). 3) The malnourished group had significantly lower scores regarding SF-36 (quality of life) as well as that of cognitive function (p < 0.05). 4) The nutritional status of PD patients was significantly correlated with their depression (p < 0.05) and quality of life (p < 0.01). These results indicate that appropriate nutritional management will improve the nutritional status and quality of life as well as the cognitive function in Parkinson's disease patients.

Mechanical Behavior of Porcine Abdominal Organ Tissue with Resuscitative Endovascular Balloon Occlusion of the Aorta (혈관내 풍선 확장에 의한 대동맥 차단소생술이 적용된 돼지 복부 장기 조직의 기계적 거동 평가)

  • Wang, Il Jae;You, Ji-Hun;Huh, Up;Song, Seunghwan;Ahn, Hyo Young;Song, Chan-Hee;Lee, Chi-Seung;Ryu, Dong-Man
    • Korean Journal of Materials Research
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    • v.30 no.4
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    • pp.197-203
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    • 2020
  • Abdominal organs are the most vulnerable body parts under vehicle trauma, and there is high mortality from acute injuries in accidents. There are various ways to reduce this high mortality; one method is Resuscitative Endovascular Balloon Occlusion of the Aorta, which has recently become very popular as a minimally invasive alternative in the emergent management of patients with non-compressible hemorrhages below the diaphragm. However, high safety factor for patients is applied in actual clinical practice because there is no exact standard for the operating time. Therefore, in this study, the effects of the mechanical behavior of organ tissues for the duodenum, kidney, and liver on the operating time of Resuscitative Endovascular Balloon Occlusion of the Aorta is investigated in order to obtain data needed to establish standards of operating time. In characteristic analysis of organ tissues, uniaxial tensile test and compression test are conducted according to the operating time.

The clinical observation on Bell's palsy according to facial nerve grading system (안면신경평가기준에 따른 구안와사(口眼喎斜)의 임상관찰)

  • Kim, Jong-in;Seo, Jung-chul;Lee, Sang-hoon;Choi, Do-young;Kang, Sung-keel;Koh, Hyung-kyun
    • Journal of Acupuncture Research
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    • v.19 no.5
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    • pp.112-123
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    • 2002
  • Background and Objective : The evaluation of facial nerve function is a complex procedure. The House-Brackmann facial nerve grading system(H-B grade)and the Yanagihara grading system(Y-system) have been recommended as universal standards for assessing the degree of facial nerve palsy. The purpose of this study is to compare the effectiveness of Y-system and H-B system and to know the advantages of each system for each stage of incomplete recovery or sequelae of facial paralysis. Materials and Methods : A comparison between H-B grade and Y-system was studied with 137 evaluations of 61 cases of incomplete recovery or sequelae of peripheral facial paralysis. Each case was graded by using H-B system as a gross system and Y-system as a regional system before treatment, after 12 weeks and 6 months Results and Conclusions : The range of score in the Y-system 0-6, 8-16, 14-22, 24-34, 32-38, 38-40 were matched with grade VI, V, IV, III, II and I in the H-B system. The percentage of H-B grade III was the greatest among 137 evaluations and y-system showed the greatest score range. H-B system is easy to use but Y-system is more objective, quantitative and convenient to use in the incomplete recovery or sequelae state.

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Comparative Study of the Surface Roughness of Working Models Fabricated by Dental CAD/CAM Scannable Stone and Type IV Gypsum Products (치과용 캐드캠 스캔전용 석고와 Type IV 석고로 제작된 작업모형의 표면조도 비교 연구)

  • Kim, Sa-Hak;Kim, Jae-Hong
    • Journal of dental hygiene science
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    • v.14 no.4
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    • pp.455-460
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    • 2014
  • This study compared the surface roughness and surface characteristics between a type IV stone and scannable stone. Materials used were a type IV stone, two different kind of scannable stone. Ten specimens per experimental group were prepared according to manufacturer's direction. Surface roughness of specimen was measured using profilometer. The measurement was based on the standard of Japanese Industrial Standards 1994. The mean and standard deviations of each reference point were analyzed using one-way ANOVA and Scheff$\acute{e}$ post hoc test. The program used to handle statistical analysis was SPSS 20.0 and the significance level was set at 0.05. The difference of surface roughness was statistically significant in order of Scannable Stone $10.07{\pm}0.02{\mu}m$, Scannable Stone $20.08{\pm}0.03{\mu}m$, Type IV $0.10{\pm}0.04{\mu}m$. These results will have to be confirmed in further clinical application researches.

The Effectiveness of Blood β-ketone Testing in Patients with Diabetic Ketosis: A Systematic Review & Meta-analysis (당뇨환자에서 자가관리형 베타케톤검사의 유효성: 체계적 문헌 고찰 및 메타분석)

  • Mo, Jin A;Jang, Sunyoung;Bang, Hee Young
    • Korean Journal of Health Education and Promotion
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    • v.31 no.4
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    • pp.1-10
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    • 2014
  • Objectives: The effectiveness of Blood ${\beta}$-ketone testing by using self-monitoring strip on diabetic patients. Methods: Clinical effectiveness of blood ${\beta}$-ketone testing was assessed through correlation with reference test that measured blood ${\beta}$-ketone value through gas chromatography or enzyme method, diagnostic accuracy, time taken for the test and time taken for confirmative diagnosis of diabetic ketosis by selecting literatures on researches that conducted this test on ketosis(suspected) patients or diabetic ketosis(suspected) patients. Each of the stages from literature search to application of selection standards and extraction of data were carried out independently by the Subcommittee along with 2 researchers. Results: 7 reports were selected. ${\beta}$-ketone testing displayed high level of correlation in the range of r=0.92~0.99 with test using enzyme method as the reference standard. Regarding the diagnostic accuracy, sensitivity of 0.82, specificity of 0.74. The time taken for the test was 30seconds for the index test, which is shorter than reference standard test. Conclusion: Blood ${\beta}$-ketone testing was assessed to be a safe and effective test to monitor ketosis and assess the level of risk of ketosis by measuring the blood ${\beta}$-ketone on ketosis patients and diabetic ketosis patients since it has high level of correlation with reference test and short period of testing.

Shortening of Nursing Record Time about Real Time Transmission Effect of Blood Pressure, Blood Glucose Value Based on U-Healthcare (유-헬스케어 기반 실시간 혈압, 혈당 측정치 전송의 간호기록 시간 단축)

  • Park, Jeong-Eun;Kim, Hwa-Sun;Hong, Hae-Sook
    • Journal of Korean Biological Nursing Science
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    • v.15 no.4
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    • pp.164-172
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    • 2013
  • Purpose: The aim was to measure the real-time trans-mission effect of blood-pressure and blood-glucose value based on u-healthcare for saving the time and effort of nursing recording time. Methods: This study used a u-healthcare system based on the international standards for the exchange of health information. In order to verify the effectiveness of the u-healthcare, a clinical trial for the system regarding blood-pressure and blood-glucose targeting of patients with endocrine disorders at KNUH from February 7 to 9, 2012 was performed. Results: According to the analyzed results, of the 86 times the 11 patients were tested, measuring blood-pressure and blood-glucose using the u-healthcare system, we found the time differences between the real-time transfer recording method and existing hospital records that were used in the hospital. Based on the average time interval, there was a difference of 1,090.45 seconds (18.17 minutes). Conclusion: Therefore, it's cumbersome that nurses in the hospital have to record the numerical values of the measured blood-pressure and blood-glucose manually and input the recorded values directly into the electronic nursing record system. However, it was found in terms of the newly designed system, that it could save time and effort for nurses, since measured information is sent to the hospital information system on a real-time basis.

A Study on the Correlation between Iris Markings and Obesity Indices (홍채표지와 비만지표와의 상관성 연구)

  • Lim, Young-Woo;Park, Seung-Il;Park, Young-Jae;Park, Young-Bae
    • The Journal of the Society of Korean Medicine Diagnostics
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    • v.17 no.2
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    • pp.112-121
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    • 2013
  • Objectives This study analyze the correlation between iris markings and the obesity level shown in body composition indices. And It quantitatively evaluates iris markings according to the level of obesity to improve a clinical application plan for the iris analysis. Methods This study analyzed the iris and body composition through the quantization of iris markings for 28 female patients. It calculated descriptive statistics by using SPSS 13.0 and investigated correlation coefficients of non-parametric Spearman in order to analyze the relation between iris markings and body composition indices. Results Considering the correlation between iris markings and body composition indices, an area of the pupil had a significant positive correlation with height and with fat-free amount such as body water, protein, and minerals. BMI showed significant positive correlations with the length of the autonomic nerve wreath and the ratio of the autonomic nerve wreath, and the area of the autonomic nerve wreath. Moreover, the number of lacunas in the pancrea area had a significant positive correlation with weight and BMI. Conclusions This study objectifies the quantification of iris markings to identify the correlation between iris markings and the level of obesity. The study results will be used as a basic data to make standards for the diagnosis of obesity, the treatment of related diseases, and the diagnosis of iris markings for prevention.